Call the 120 emergency number to make it clear to save your life faster

Text/Yangcheng Evening News all-media reporter Zhang Hua

Correspondent Kim Koo-woo

Photo/Visual China (unsigned)

"Doctor, you hurry up, my wife fainted..." The emergency department doctor of the Second Hospital of Traditional Chinese Medicine in Guangdong Province immediately got out of the car after receiving the task of dispatching 120 cars, and called in advance on the ambulance to understand the condition, the more critical the situation, the more excited the family, unable to accurately express the condition, often answering the phone, only to cry, "You come to save your life." He hung up the phone. This is the scene of the hospital's emergency department chief Chinese medicine physician Liang Wenjian will encounter from time to time.

Do not clear the patient's symptoms, emotional agitation, crying, anxiety and other practices, for emergency patients do not have any help, experts remind the public, to understand the basic characteristics of myocardial infarction and stroke, and call the 120 emergency telephone must remain calm, focus on describing the patient's symptoms, quietly waiting for rescue.

To be clear, to predict the condition of the doctor is to give first aid

"We went out to save our lives, but people who call 120 or other emergency calls must accurately describe the patient's symptoms and give the doctor a prejudgment." Liang Wenjian believes, "This is related to whether it can save lives in time, because after the emergency department receives 120 assigned emergency car tasks, a doctor and a nurse must get out of the car within 4 minutes and go to the patient's home for at least 10 minutes. Because the number of pre-hospital first aid personnel is limited, it is impossible to bring ventilators, defibrillators, suction machine bags and other emergency equipment every time, in general, we will only carry the corresponding first aid items and equipment for the patient's condition, such as stroke hemiplegia, stable vital signs, only need stretchers, internal medicine first aid kits, oxygen bags, etc.; if it is cardiac arrest, then ventilators, defibrillators and endotracheal intubation must be carried. ”

If the family is not clear, it will reduce the effectiveness of the doctor's first aid. For example, the sudden fainting is expressed as dizziness and falls, severe breathing difficulties with chest tightness, simply expressed as chest tightness, when the medical staff arrives at the scene, only to find that the patient's condition is far from what the family described, at this time, it is possible that because the judgment of the condition is not comprehensive enough, resulting in the possibility of insufficient rescue equipment, and ultimately greatly reduce the success rate of patient rescue.

Therefore, explaining the patient's condition clearly, especially whether there is breathing, pulse, the patient's expression, limb condition, and symptoms before the onset of the disease, plays a decisive role in the doctor's prediction.

Wait quietly for rescue and do not move the patient at will

Because the public is unable to distinguish the symptoms of myocardial infarction and stroke, and does not know the severity of the consequences, it often delays the best first aid time. Liang Wenjian said that some elderly people have a sudden stroke, one side of the limb is not strong, but they can barely walk, they often think that the activity may be able to alleviate, or take angong niuhuang pill at home to observe whether it can be improved; or wait for the child to go home and then go to the hospital. For various reasons, if you do not seek medical treatment in time, it is easy to exceed 4.5 hours, and after coming to the hospital, you have exceeded the optimal thrombolysis time.

According to statistics, there are about 2 million new stroke cases in the mainland every year, and on average, one person has a stroke every 12 seconds. On average, one person dies from a stroke every 21 seconds. Even if about 3/4 of the survivors lose their ability to work, sequelae such as hemiplegia and aphasia occur. Once ischemic stroke occurs, thrombolysis, thrombosis, or open collateral circulation may be thrombolytic. Thrombolytic therapy has a strict time window limit, and the onset of gold is 3-4.5 hours. Therefore, once there is a stroke or heart attack, the best first aid is to dial the 120 emergency number, while waiting for rescue at home quietly, do not move the patient at will.

Some people feel that waiting at home is not as fast as driving patients to the doctor themselves. In fact, this is a wrong understanding. Liang Wenjian pointed out that doctors can do preliminary treatment at the door, and can contact the hospital to open a green channel, and patients can be directly treated after arriving at the hospital, which is far more efficient than queuing up for registration in the place of self-treatment. Secondly, moving and transporting patients on their own, improper operation, can easily aggravate the heart load and aggravate the condition. Therefore, it is advisable for patients to wait quietly at home for rescue.

Find someone who can make a decision to negotiate whether to operate

After the stroke patient arrived at the hospital, whether to operate or thrombolysis was originally decided quickly by the family according to the doctor's advice. However, a common situation in the emergency department is that the patient's friends and relatives at the scene can't make up their minds, need to ask the family for advice, the children ask, ask the wife, ask the parents, and then find acquaintances to ask a circle, which leads to the patient's emergency time being lost minute by minute.

"Just recently, a 32-year-old young man suddenly fell to the ground and was unconscious when he was sent to the emergency department, when we speculated that at his age, the probability of cerebral artery malformation rupture and bleeding was relatively large, but the head CT did not find a hemorrhagic lesion." After 1 hour of rescue, the patient was awake, but one side of the limb hemiplegia, can not speak, we judged as acute cerebral infarction, and still in the time window of thrombolysis, need to be thrombolytic treatment as soon as possible, but the friend who sent him swayed, could not decide whether to thrombolysis, and then called the patient's wife who was far away, the patient's wife could not make up her mind, and kept calling for the opinions of other family members, just one after another the phone call came down, the time also slowly disappeared, and the patient also missed the time window of intravenous thrombolysis. Fortunately, we improved the head MRI + MRA examination in time, clarified that the patient is occluded in the middle cerebral artery, and timely gave cerebrovascular interventional treatment within 5 hours of the onset of the disease, opened the blood vessels, restored cerebral circulation, and the patient was finally successfully saved, leaving no sequelae. Liang Wenjian introduced.

▲Liang Wenjian, chief chinese medicine physician of the emergency department of the Second Hospital of Traditional Chinese Medicine in Guangdong Province, did training at the grassroots level Photo/Provided by the interviewee

Although this young man is lucky, there are also many cases in the emergency department that delay the patient's surgery and thrombolysis time due to communication with the family, resulting in sequelae and even unsuccessful rescue. Therefore, Liang Wenjian said, "Doctors are always responsible for saving lives and helping the injured, it can be said that doctors are the people who want you to recover as soon as possible in addition to their families, so respecting the doctor's advice is crucial for emergency patients." ”

What is the Rule of 120?

★ Anyone has the possibility of a stroke, and this 120 rule must be known!

After the age of 55, the risk of stroke doubles for every 10 years of age, not only the elderly are prone to stroke, anyone has the risk of stroke, so we must learn to recognize the signs of stroke - the "rule of 120":

1: a face, asymmetrical, crooked mouth;

2: Two arms, one side is weak, can not be lifted;

Can't hear, can't express, can't speak clearly, can't understand what we say;

Find 120 these three problems, immediately dial 120, the key moment can save lives.

What is The Befast Law?

★ What are the precursors of stroke, look for the Law of Befast

Learn this rule and save lives at critical moments.

Stroke is the first major residual disease in our country, once a stroke occurs, it is very important to rescue within 3 hours, the "BE FAST tips" for identifying early symptoms of stroke, the first 5 letters each represent an early symptom, and the last 1 letter is a reminder that once stroke symptoms are found, it is necessary to call the emergency number immediately, so everyone should understand the Law of Befast and identify stroke in a timely manner in a pinch.

The Law of Befas refers to: B, E, F, A, S, T

"B" – Balance balance, walking test, sudden loss of balance or coordination, difficulty walking;

"E" – Eyes eyes, visual tests, sudden changes in vision, difficulty seeing;

"F" – Face face, smile test, sudden facial asymmetry, crooked corners of the mouth; let the patient try to leak teeth to smile, if the expression on one side is not normal, indicating the appearance of facial paralysis;

"A" – Arms arm, a test with a raised hand, a sudden feeling of arm weakness or numbness, usually on one side of the body;

Raise both hands flat for 10 seconds, if one arm cannot be maintained, indicating that one limb may be hemiplegic;

"S" – Speech language, a speech test, suddenly speaking ambiguously and unable to understand someone else's language; can be asked to repeat a sentence, if he cannot speak or spit out words, indicating a speech disorder;

"T" - Time time, the above symptoms indicate the possibility of stroke, record the time of onset, do not wait for the symptoms to disappear on their own, immediately dial 120 for medical assistance. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)

Source | Yangcheng Evening News Yangcheng Pie

Editor-in-charge | Liu Xinyu